have premises for social activities while the places with such premises (for example, Plovdiv Detention Centre) do not have social workers to perform them. Transform the medical centres into health offices within the meaning of the Health Act. Transform the specialised hospitals for persons deprived of liberty into hospitals for long-term treatment. The long-standing problem with cockroaches and bed-bugs at places for deprivation of liberty Close down Debelt Open-Type Prison Hostel. continues and this has been found at all places inspected – even in places where major renovation works were completed. In this regard, recommendations have been issued to the DGEP to find alternative ways to deal with the issue. The NPM has found persistent prerequisites for violation of the secrecy of correspondence. According to the NPM, the most serious problem at prisons is medical care. It should be noted that the long-standing promises of the Ministry of Justice to reform the health system in the penitentiary system and amend the Execution of Punishments and Detention in Custody Act were not fulfilled in 2020 either. The NPM reiterates that such action is critical to identify the existing problems in the system and set out the actual possibilities to organise the health services for persons deprived of liberty. There has been no improvement in the health care for persons deprived of liberty. In 2020, 52 persons died in comparison to 36 in 2017. Medical specialists are continuing to leave the system. Over the past year, support was provided for the activities related to outpatient medical care and 20 medical specialists were hired under service contracts; general practitioners were selected ex officio in line with the National Framework Agreement. It should be noted that, in the long term from 2001 to 2020, there has been a lasting downward trend in the number of persons suffering from tuberculosis. In 2020, a screening examination for hepatitis C was carried out at Sofia Prison with the assistance of a non-governmental organisation. 18

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